Individual
LAURA BAUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8801 FAST PARK DR STE 211, RALEIGH, NC 27617-4853
(919) 442-8398
Mailing address
1005 W MAIN ST APT 142, DURHAM, NC 27701-1363
(919) 698-7759
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
Primary
L005791
NC
Other
Enumeration date
07/12/2019
Last updated
12/02/2019
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